- Select Medical (West Orange, NJ)
- **Overview** **Kessler Institute for Rehabilitation** West Orange, NJ **Prior Authorization Specialist /Payor Relations Specialist - This is an** **onsite** ... Responsibilities** Using discretion and independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals… more
- VNS Health (Manhattan, NY)
- …records documenting the actions and rationale for each grievance or appeal decision. Develops correspondence communicating the outcome of grievances and appeals ... application of medical criteria and regulatory requirements to ensure appropriate appeal resolution and execution of the plan's fiduciary responsibilities. Prepares… more